Edit Record Check our patient data records. Add patient information Patient Info Profile picture Last Name First Name Middle Name Birthdate Age Street Barangay City Country Zip Code Contact number Email Procedure 06-08-2018 > FLOURIDE = 500 > CLEANING = 500 > #6 SEALANT = 500 06-22-2019 > UPPER D LEFT - EXO = 550 05/29/24 OP cast analyse intra/extra oral photos 12 series PA 06/08/24 NITI 14 U MBT slot 0.22 06/12/24 check up 06/22/24 Exo #24 gel foam 07/13/24 Adj 16 NITI U Exo #25 08/10/24 instal L 14 Niti upper 16SS U 09/07/24 Adj 16 NITI L3rd hook upper 10/05/24 same wire IPR #44-34 11/09/24 Adj 18SS U/L 12/07/24 Adj reattached #34 01/11/25 same wire U/L reattached #16 closing space on 25-26 02/08/25 lost BT #26 reattached BT #16 18 SS U 18 NITI L chain U-PM to PM 03/08/25 3rd hook to upper 2nd hook lower rabbit 3 oz chain upper new buccal tube #26 04/05/25 new buccal tube #16 class II elastic rabbit 5oz closing coil spring 16 to 13,26 to 23 05/03/25 adj class ll elastic rabbit 5oz 06/07/25 same wire rabbit 5oz 16 to 43, 23 to 36 07/07/25 Adj rabbit 5 oz class II elastic 08/02/25 Adj 16x22 SS U 16x16 SS L new buccal tube #46 08/30/25 SAME WIRE CROSS ELASTIC RABBIT 5oz 09/27/25 same wire elastic rabbit 5oz 10/11/25 reattached #16 10/25/25 same wire elastic: rabbit 5oz, penguin for removal next month 11/22/25 brace removal 12/6/25 Filling #11 - Mesial #21 - Mesial #12 - Mesial and Distal #13 - Mesial #22 - Mesial #23 Mesial File File 2 File 3 File 4 File 5 File 6 File 7 File 8 File 9 File 10 File 11 File 12 File 13 File 14 File 15 File 16 File 17 File 18 File 19 File 20 Retain Record Retain Record Yes No Save Your Changes